Active NPI
Keith Ernest Ozanne, DC
- Chiropractor
- Quakertown, PA
National Provider Identifier
1528135571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004665L
- Practice address
- 1226 W Broad Street
Quakertown, PA 18951 - Phone
- (215) 536-2225
- Fax
- (215) 536-6516
- NPI assigned
- Nov 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004665L | PA | Primary |
Addresses
Primary practice location
1226 W Broad Street
Quakertown, PA 18951
Mailing address
1226 W Broad Street
Quakertown, PA 18951
Phone (215) 536-2225
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16135 | Other | PA | HEALTH PARTNERS |
| P1581257 | Other | PA | OXFORD |
| 0775780000 | Other | PA | KEYSTONE |
| 1240450 | Medicaid | PA | |
| 653901 | Other | PA | BCBS |
| 0845855 | Other | PA | US HEALTHCARE AETNA |
| 843189 | Other | PA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1226 W Broad St
Quakertown, PA 18951-1230
Phone (215) 536-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC004665L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad Street Chirporactic, Inc | Chiropractor | Current | Accepting new patients |
Locations
1226 W Broad St
Quakertown, PA 18951
Phone (215) 536-2225
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Quakertown, PA
- NPI 1811131659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528135571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 W BROAD STREET",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "18951",
"telephone_number": "215-536-2225",
"fax_number": "215-536-6516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 W BROAD STREET",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "18951",
"telephone_number": "215-536-2225",
"fax_number": "215-536-6516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZANNE",
"first_name": "KEITH",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004665L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "16135",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1581257",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0775780000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1240450",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "653901",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE AETNA",
"identifier": "0845855",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "843189",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quakertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.